In the case of pathological jealousy, the individual's fantasies and fantasies often do not have real confirmations, he does not give up his considerations even before convincing arguments of the opposite and quite often bring charges of treason with several rivals. The jealousy of jealousy is inherent in confidence, formed from fantasies, not facts, and the lack of logic.
In fact, painful jealousy is one of the symptoms of various mental illnesses. For example, schizophrenia. In this case, the so-called Othello syndrome, as a rule, manifests itself to 40 years, it is accompanied by aggressive manifestations in men and depressive in women.
The presence of delusions of jealousy can be assumed by the presence of groundless accusations of treason and their categorical nature, the full belief of the patient in his rightness, illogical interpretation of any actions of the second half (any actions are considered as a desire to deceive and change), talkative, expansive, non-perception of his pathology.
The plot of this pathology is a strong concern for the fictional betrayal of a sexual partner. Typical forms of symptomatology of this mental pathology are delusional, obsessive and overvalued ideas.
There is an opinion that the delirium of jealousy is a variation of the delusional disorder, hence the name "delirium of jealousy" does not correspond to the truth. The key psychiatric pathology in this case is the delusion of a partner's infidelity, which is often combined with the patient's guesses that the guilty party is trying to poison him; slips funds that reduce sexual activity; lulls the patient and at this time has sex with an opponent. These delusional ideas are related to delirium of persecution, and delirium of jealousy is its variety.
Delusional ideas of infidelity are the initial symptoms of schizophrenia or additional signs of an existing mental illness. These are the own conjectures of the individual, not acceptable by others, but do not cause inconvenience to him. The patient himself considers them to be true, these thoughts he does not resist.
The delusion of jealousy is seen as a modification of the delusional disorder in the American Association of Psychiatrists (the fourth edition) and the International Classification of Diseases (tenth edition), which is used today by domestic doctors.
It happens that delusional ideas of infidelity do not figure on the background of other mental illnesses and exist on their own. Their content is logical, consistent and plausible, not to mention the strange associations inherent in schizophrenic delirium.
Disorders of the function of the psyche, which are characterized by delirium, belong to disorders of the emotional state (clinical depression, manic-depressive psychosis), and in general, it can occur in any violation of the functions of the brain.
In the case of obsessive ideas, jealousy about meditating on a partner's change is taken almost all the time, it is impossible for a patient to not think about it, committing violations of relations with a partner, limiting his freedom, controlling his actions.
In this case, the thought of change in the perception of the patient is something abstract, but he can not get rid of them. Such patients realize that their fears are groundless, they are sometimes ashamed. They are all the time in a stressful situation, caused by obsessions, contrary to the real situation. As a result, a continuous process of the transition of obsessive pathological jealousy into a delirious one can begin.
At the end of the last century, it was suggested that Othello's syndrome could manifest itself as an overvalued idea, namely, a perfectly acceptable, understandable belief in which the patient was concentrated in an inadequate measure. It does not cause an internal protest in the patient, and although it is not considered delusional, the patient checks the partner's actions, trying to make sure there is no betrayal. How widespread is this form of pathology unknown, since it is assumed that patients with overvalued ideas are usually beyond the area of attention of psychiatry. It is believed that overvalued ideas are a delusion of jealousy.
To any manifestations of delirious jealousy are predisposed persons with emotional disorders of the border type, in particular - with paranoid ones.
They are distinguished by a negative and completely unformed self-identification, a sense of their low value, anxiety about a possible denial of intimate relations, betrayal of a partner, affective instability, projection of unacceptable attractions for a partner.
In the delusion of jealousy, common disorders are common, in the pure form it is very rare. The presence of a variety of combinations (with personality disorders, mental pathologies, alcohol and drug abuse) usually creates a very complex and ambiguous clinic of the disease.
The first signs of the development of delusions of jealousy - a gloomy reverie with the often repeated obsessive talk about infidelity, first it's rare episodes. Then they become more frequent, concrete and categorical accusations begin, often devoid of elementary logic, non-acceptance of any justifying arguments. The patient does not realize his pathology.
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Dynamics of delirium of jealousy
Appearing in schizophrenics crazy ideas of jealousy are attributed to intellectual delirium. They have significant differences from similar ideas in sensory delirium in epileptics, alcoholics or in patients with cerebral atherosclerosis with mental disorders.
Dynamics of alcoholic delirium jealousy is characterized by a gradual increase in symptoms. Initially, patients report their doubts or are accused of cheating episodically, in a state of intoxication or against withdrawal symptoms. After some time, the delusional treatment of earlier cases appears already in a sober state. At the beginning of the illness, the real change to the worst family relationships, caused by long-term drunkenness of the patient, plays a role.
Since the content of delirium is based on the current state of affairs in the family, the statements of a jealous man seem very plausible to those around him. Further, the interpretation of events is made less real, filled with a lot of fictional details. The plot of delusions of jealousy can expand, enriching with new details. The patient begins to show aggression and becomes dangerous.
Dynamics of delirium jealousy in individuals with schizophrenic spectrum disorders is observed in two variants of continuous flow - with an increase in symptoms and with the forthcoming replacement of the delusions of the delirium, and in two variants of the paroxysmal course - without the increase in symptoms and with its increase. Malignancy of the process can also be observed - the increase in symptoms and the transition from paroxysmal to continuous flow.
The aggravation of the process of pathological jealousy in persons with schizophrenic spectrum disorders occurs according to the scheme: the paranoid delirium of jealousy gradually acquires the features of a paranoid → the appearance of elements of delirium of other content → the addition of hallucinations → the emergence of paraphrenic components of delirium jealousy.
The paranoia of jealousy in people with schizophrenia disorders is mostly formed as a sudden insight, occasionally there is a gradual understanding based on overvalued ideas of jealousy. At first, the patient's reasoning does not seem morbid. But their mood is low, with elements of irritability and even malice.
The paranoid delirium of jealousy is characterized by illogicality, absurdity, often absurdity. The subject of jealousy is connected with other topics, it is accompanied by hallucinations. The mood is dominated by depressive affective elements, and the behavioral line does not coincide with delusional unrest.
Paraphrenia is the apotheosis of chronic delusional psychoses. For this stage, combined megalomania of grandeur, persecution and influence, a change of affect, an automaticity appears in reasoning, actions and movements. The fabric of delirium is enriched by variations, overgrown with new details, expanding. In this state, patients do not even try to justify their speculation, they seem to the madmen axioms. For paraphrenia, imaginary memories are typical, real events in which are mixed up with fantastic ones. Usually, the patients are in a state of euphoria: from more restrained to frankly manic.
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